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LAKE CUMBERLAND REGIONAL HOSPITAL LLC

General Acute Care Hospital, Rural·SOMERSET, KY·NPI: 1619038247Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$77.8M

$77,766,420

Total Claims

1.5M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$11.9M
-8%
2019
$10.9M
-3%
2020
$10.6M
+5%
2021
$11.1M
-9%
2022
$10.1M
+22%
2023
$12.4M
-13%
2024
$10.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 17% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$13.4M

50K claims · 17.2%

Your Cost: $267.89/claim|Median: $85.65
3.1× median
99284Top 25%

Emergency dept visit, high complexity

$7.0M

44K claims · 9.0%

Your Cost: $158.99/claim|Median: $69.51
2.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$5.2M

15K claims · 6.7%

Your Cost: $338.12/claim|Median: $60.19
5.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.9M

25K claims · 3.7%

Your Cost: $117.38/claim|Median: $42.48
2.8× median
93458Top 25%

Left heart catheterization with imaging

$2.9M

3,194 claims · 3.7%

Your Cost: $901.11/claim|Median: $183.33
4.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.5M

6,436 claims · 3.2%

Your Cost: $390.19/claim|Median: $65.76
5.9× median
G0378Normal range

Hospital observation service, per hour

$2.2M

8,655 claims · 2.8%

Your Cost: $250.57/claim|Median: $99.39
2.5× median
70450Top 25%

CT head/brain without contrast

$1.9M

11K claims · 2.4%

Your Cost: $170.98/claim|Median: $45.53
3.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.6M

38K claims · 2.0%

Your Cost: $41.14/claim|Median: $21.76
1.9× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$1.5M

20K claims · 1.9%

Your Cost: $72.56/claim|Median: $3.42
21.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.4M

36K claims · 1.8%

Your Cost: $39.53/claim|Median: $7.50
5.3× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$1.3M

1,797 claims · 1.7%

Your Cost: $739.14/claim|Median: $123.40
6.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.2M

23K claims · 1.5%

Your Cost: $49.52/claim|Median: $14.92
3.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$997K

3,701 claims · 1.3%

Your Cost: $269.42/claim|Median: $54.68
4.9× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$992K

11K claims · 1.3%

Your Cost: $91.13/claim|Median: $35.80
2.5× median
71046Top 10%

Chest X-ray, 2 views

$826K

21K claims · 1.1%

Your Cost: $38.83/claim|Median: $8.92
4.4× median
80053Normal range

Comprehensive metabolic panel

$782K

108K claims · 1.0%

Your Cost: $7.24/claim|Median: $7.24
1.0× median
72125Top 10%

CT cervical spine without contrast

$734K

3,533 claims · 0.9%

Your Cost: $207.64/claim|Median: $32.30
6.4× median
71045Top 10%

Chest X-ray, single view

$733K

26K claims · 0.9%

Your Cost: $28.30/claim|Median: $4.93
5.7× median
36415Top 25%

Collection of venous blood by venipuncture

$708K

149K claims · 0.9%

Your Cost: $4.75/claim|Median: $1.57
3.0× median
72148Top 10%

MRI lumbar spine without contrast

$689K

2,193 claims · 0.9%

Your Cost: $314.01/claim|Median: $101.03
3.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$688K

28K claims · 0.9%

Your Cost: $24.41/claim|Median: $9.56
2.6× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$668K

2,913 claims · 0.9%

Your Cost: $229.21/claim|Median: $111.02
2.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$638K

13K claims · 0.8%

Your Cost: $48.26/claim|Median: $35.43
1.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$638K

15K claims · 0.8%

Your Cost: $42.55/claim|Median: $54.77
0.8× median
73721Top 10%

MRI joint of lower extremity without contrast

$593K

1,637 claims · 0.8%

Your Cost: $362.02/claim|Median: $127.34
2.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$565K

88K claims · 0.7%

Your Cost: $6.44/claim|Median: $4.71
1.4× median
99282Normal range

Emergency dept visit, low complexity

$522K

7,115 claims · 0.7%

Your Cost: $73.40/claim|Median: $37.72
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$508K

30K claims · 0.7%

Your Cost: $16.85/claim|Median: $38.92
0.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$493K

11K claims · 0.6%

Your Cost: $45.07/claim|Median: $24.49
1.8× median
76705Top 25%

Ultrasound, abdominal, limited

$470K

5,168 claims · 0.6%

Your Cost: $91.03/claim|Median: $23.81
3.8× median
71275Top 25%

CT angiography, chest, with contrast

$469K

2,515 claims · 0.6%

Your Cost: $186.52/claim|Median: $92.96
2.0× median
43239Normal range

Upper GI endoscopy with biopsy

$443K

3,183 claims · 0.6%

Your Cost: $139.10/claim|Median: $151.68
0.9× median
J7030Top 10%

Normal saline solution infusion, 1000 cc

$435K

23K claims · 0.6%

Your Cost: $18.68/claim|Median: $1.53
12.2× median
71250Top 25%

CT scan of chest without contrast

$422K

3,641 claims · 0.5%

Your Cost: $115.87/claim|Median: $39.11
3.0× median
71260Top 25%

CT chest with contrast

$401K

2,699 claims · 0.5%

Your Cost: $148.41/claim|Median: $48.36
3.1× median
99218Top 10%

$390K

1,478 claims · 0.5%

Your Cost: $263.59/claim|Median: $51.50
5.1× median
70553Top 25%

MRI brain without contrast, then with contrast

$383K

1,297 claims · 0.5%

Your Cost: $295.57/claim|Median: $133.68
2.2× median
70551Top 25%

MRI brain without contrast

$382K

1,338 claims · 0.5%

Your Cost: $285.45/claim|Median: $85.39
3.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$368K

805 claims · 0.5%

Your Cost: $457.09/claim|Median: $233.73
2.0× median
70498Top 10%

$360K

1,487 claims · 0.5%

Your Cost: $241.89/claim|Median: $58.88
4.1× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$350K

7,010 claims · 0.4%

Your Cost: $49.91/claim|Median: $36.13
1.4× median
74178Top 10%

$334K

840 claims · 0.4%

Your Cost: $397.34/claim|Median: $122.85
3.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$331K

4,477 claims · 0.4%

Your Cost: $73.93/claim|Median: $12.93
5.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$326K

1,331 claims · 0.4%

Your Cost: $244.64/claim|Median: $106.14
2.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$316K

450 claims · 0.4%

Your Cost: $701.83/claim|Median: $763.43
0.9× median
72131Top 10%

$310K

1,807 claims · 0.4%

Your Cost: $171.58/claim|Median: $42.82
4.0× median
47563Normal range

$303K

432 claims · 0.4%

Your Cost: $701.74/claim|Median: $701.74
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$295K

7,975 claims · 0.4%

Your Cost: $36.95/claim|Median: $10.88
3.4× median
70486Top 10%

$280K

1,490 claims · 0.4%

Your Cost: $188.15/claim|Median: $44.28
4.2× median

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